Douglas County Public Health Services Group, Inc. is a medicare enrolled primary clinic (Family Medicine) in Licking, Missouri. The current practice location for Douglas County Public Health Services Group, Inc. is 135 College Ave., Licking, Missouri. For appointments, you can reach them via phone at
(417) 683-4831. The mailing address for Douglas County Public Health Services Group, Inc. is Po Box 1359, Ava, Missouri and phone number is (417) 683-4831.
Douglas County Public Health Services Group, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1629639109. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(417) 683-4831.
Primary Care Clinic Profile
| Full Name | Douglas County Public Health Services Group, Inc. |
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| Speciality | Family Medicine |
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| Location | 135 College Ave., Licking, Missouri |
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| Authorized Official Name and Position | Jennifer Heinlein (COO) |
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| Authorized Official Contact | 4176834831 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Douglas County Public Health Services Group, Inc.
Po Box 1359
Ava
MO 65608-1359
Ph: (417) 683-4831 | Douglas County Public Health Services Group, Inc.
135 College Ave.
Licking
MO 65542
Ph: (417) 683-4831 |
NPI Details:
| NPI Number | 1629639109 |
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| Provider Enumeration Date | 06/25/2019 |
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| Last Update Date | 06/25/2019 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3072423052 |
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| Medicare Enrollment ID | O20191118001202 |
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Medical Identifiers
Medical identifiers for Douglas County Public Health Services Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629639109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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